Eating Attitudes, Depression, Parent-child Interaction, and Family Function of Adolescent Girls

Suyon Baek; Jiyoung Park; Heesoon Kim; Taehyung Kim

doi:10.12934/jkpmhn.2012.21.3.176

Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.21(3) > 1057941

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Baek, Park, Kim, and Kim: Eating Attitudes, Depression, Parent-child Interaction, and Family Function of Adolescent Girls

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012; 21(3): 176-187.

Published online: 30 September 2012

DOI: https://doi.org/10.12934/jkpmhn.2012.21.3.176

Eating Attitudes, Depression, Parent-child Interaction, and Family Function of Adolescent Girls

Suyon Baek¹, Jiyoung Park¹, Heesoon Kim¹, Taehyung Kim²

¹College of Nursing, Yonsei University, Seoul, Korea.

²College of Social Sciences, Mokwon University, Daejeon, Korea.

Corresponding author: Park, Jiyoung. College of Nursing, Yonsei University, 250 Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3324, Fax: +82-2-2227-7927, sky831113@naver.com

Received 19 March 2012 Revised 15 June 2012 Accepted 24 September 2012

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of the study was to investigate the prevalence of abnormal eating attitudes and to identify possible risk factors associated with these attitudes among Korean adolescent girls.

Methods

A convenience sample of 1,126 girls aged 15 to 19 years was recruited from thirteen high schools. A self-report survey was conducted including Eating Attitude Test for diagnosing abnormal eating attitudes. Data were analyzed using descriptive statistics and multiple logistic regression with PASW statistics 18.0.

Results

Of the participants, 8.3% met the criteria for abnormal eating attitudes. Misperception of body image, depression, and high or low economical status were significantly associated with abnormal eating attitudes (OR=3.50, 95% CI=1.95~6.28; OR=5.47, 95% CI=3.17~9.44; OR=2.26, 95% CI=1.14~4.47; OR=2.41, 95% CI=1.25~4.66).

Conclusion

The current study identified the family factors as well as internal ones related to abnormal eating attitudes of Korean adolescent girls. The results indicate that the most effective prevention strategies for this population would be to correct their misperception of body image and control depression. Results also suggest that further studies are necessary to develop a predictive model that could explain the influence of family factors including parent-child interaction and family function to abnormal eating attitudes.

Keywords: Adolescent, Body image, Depression, Eating disorders, Parent-child relations

Figures and Tables

Table 1

Internal and Family Factors of Participants (N=1,126)

^†Under-weight: BMI is less than 5th percentile for sex and age, normal: 5~85 percentile; Over-weight: 85~95 percentile, obesity: above the 95th percentile; ^‡Despite being thin or normal, they think they are over-weight; ^§Intact family: nuclear and large family, Deficient family: single parent and grandparent family.

Table 2

Comparison of Internal Factors between Abnormal and Normal Eating Attitudes Group (N=1,126)

^†Measured by ANCOVA (Analysis of Covariance) with age as covariate; ^‡Under-weight: BMI is less than 5th percentile for sex and age, Normal: 5~85 percentile, Over-weight: 85~95 percentile, Obesity: above the 95th percentile; ^§Despite being thin or normal, they think they are over-weight.

Table 3

Comparison of Family Factors between Abnormal and Normal Eating Attitudes Group (N=1,126)

^†Intact family=nuclear and large family, Deficient family: single parent and grandparent family.

Table 4

Factors associated with Abnormal Eating Attitudes of Adolescent Girls (N=907^†)

Nagelkerke R²=.15; χ²=58.64, df=4, p<.001; Hit ratio=92.6%; Each variable adjusted for all other variables in the table; SE=standardized error; OR=odds ratio; CI=confidence interval.

^†Excluded missing values; ^‡Dummy variables (Misperception of body image: no=0, yes=1; Children's depression inventory: normal=0, depression=1); ^§Dummy variables (Economic status: poor=d1, rich=d2); The base group of economic status is average; Dummy variables were coded as (1, 0) for poor and (0, 1) for rich.

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